sfk
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A 41-year-old man presents to his physician for a routine physical examination. He is a new to this office and brings his previous medical record with him. He has no significant past medical history but he does have a strong family history of cancer and heart disease. His father and his brother both had myocardial infarctions before age of 55, and his sister, mother, and aunt had breast cancer. He exercises regularly and eats well, with most of his diet being low in saturated fat and cholesterol. He smokes one pack of cigarettes per week. His review of systems is unremarkable. He is very anxious and would like only minimal interventions done because of his good health. Which of the following is an age-appropriate screening test in this patient?
A- Fasting lipid profile
B. Non-fasting total cholesterol level
C- Oral glucose tolerance test
D- Prostate examination
E Sigmoidoscopy
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| hero
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b
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| lq2006
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Non-fasting total cholesterol level
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| hir
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B
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| guangyu
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| GOGETA
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why not a
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| boron
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E - sigmoidoscopy
Colorectal cancer incidence start to increase after 40 years of age.
Having 3 close relatives with a breast cancer increases the risk for colorectal cancer. I've not found direct correlation between breast and colon cancer though.
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| boron
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..if you can call sigmoidoscopy as "minimal intervention" 
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| Al Durra
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He is very anxious and would like only minimal interventions done
this is the most important clue to the right answer because D is also correct since prostate cancer screening consists of DRE after 40 & DRE+PSA after 50 , but B would be the best choice
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| stony_meadow
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B.
The recommended screening procedure for hypercholesterolemia should start at 35 for men and 45 for women and the protocol is to check total cholesterol and HDL. LDL is used to constitute treatment modality. Total cholesterol does not require fasting to be performed.
A, fasting lipid profile is recommended less often.
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